钬激光和气压弹道碎石术治疗输尿管结石的临床分析.docVIP

精品论文 参考文献 钬激光和气压弹道碎石术治疗输尿管结石的临床分析 尹 勇 　　成都市中西医结合医院 四川成都 610000 　　【摘 要】目的：探究钬激光和气压弹道碎石术治疗输尿管结石的临床效果。方法：选取我院自2013年10月至2015年2月收治的400例输尿管结石患者作为研究对象，将其按照入院顺序随机的、平均将其分为A、B两组，A组采用输尿管镜气压弹道碎石进行治疗，B组采用钬激光碎石进行治疗。对比两组患者碎石后的预后情况。结果：气压弹道碎石术结石一次粉碎并取出或自行排出率为78.00%（156/200），结石部分被粉碎后又在肾盂或肾盏进行第二次粉碎16.00%（32/200），结石部分被粉碎但结石碎块仍残留于原位6.00%（12/200），相应钬激光碎石术的数据为90.00%（180/200）、8.00%（16/200）、2.00%（4/200），两组相比，钬激光碎石术占优势，且Plt;0.05，具有统计学意义；A组患者的手术时间、住院时间分别为（30plusmn;5.0）min、（3.5plusmn;1.5）d，与B组的（25plusmn;4.5）min、（2.5plusmn;1.0）d对比，后者明显占优势，具有统计学意义，plt;0.01。结论：钬激光治疗输尿管结石具有创伤小、并发症少、手术时间短、住院时间短等优势，提倡临床应用。 　　【关键词】气压弹道碎石术；钬激光；输尿管结石；临床疗效 　　【中图分类号】R693 【文献标识码】B 【文章编号】1674-8999（2015）8-0126-02 　　Clinical analysis of holmium laser and pneumatic ballistic lithotripsy on treatment of ureteral calculi 　　【Abstract】Objective: To explore the clinical effect of holmium laser and pneumatic ballistic lithotripsy on treatment of ureteral calculi. Methods: 400 ureteral calculi patients treated in our hospital from 2013 October to 2015 February were selected as research object,they were randomly and averagely divided into A and B group according to the order of admission, A group treated with ureteroscopic pneumatic lithotripsy,group B treated with holmium laser and pneumatic ballistic lithotripsy.Compared two groupsrsquo; prognosis after lithotripsy.Results: Self discharge rate or one-time success the pneumatic ballistic lithotripsy stone crushing was 78% (156/200), part of stones after being crushed in the pelvis or renal calices and did second pieces was 16% (32/200), part of stones crushed stone fragments remained was 6% (12/200), the corresponding data of holmium laser and pneumatic ballistic lithotripsy were 90%(180/200), 8% (16/200), 2% (4/200), compared two groups of holmium, holmium laser and pneumatic ballistic lithotripsy was dominant,Plt;0.05, with statistical significance; A grouprsquo;s occurred 4 ureter perforation cases, accounting for 20%, and it was 0 case in group B, Plt;0.05;Operation